Organization · Type 2 NPI

4621 Corporation

Skilled Nursing Facility · Chicago, IL

NPI number 1871580126 Active

Practice location

4621 N Racine Ave
Chicago, IL 60640-4905

Call (773) 784-2300 Map

Fax (773) 769-4621

Mailing address

405 N Wabash Ave Ste P2W
Chicago, IL 60611-3541

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X0023770

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1871580126

4621 Corporation's National Provider Identifier is 1871580126, issued on Oct 3, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Chicago, IL. The record was last updated on Apr 8, 2019.